Individual provider Active NPI

Nong Dang, MD

  • Family Medicine Physician
  • San Jose, CA
National Provider Identifier
1891221008
Registry record updated Feb 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
169449 Issued in CA
Practice address
1661 Burdette Dr Ste C
San Jose, CA 95121-1681
Phone
(408) 912-5772
Fax
(669) 275-2571
NPI assigned
May 8, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 169449 CA Primary

Addresses

Primary practice location

1661 Burdette Dr Ste C
San Jose, CA 95121-1681

Mailing address

3287 Mount Logan Dr
San Jose, CA 95127-4825
Phone (808) 391-8905

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200812000791 CA Practitioner - Family Practice 2163848342 Reassigns benefits to 1 organization
Practice locations: Milpitas, CA

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Nong GroupGroup PAC ID 8820454978, 2 clinicians

Practice addresses (Care Compare)

3287 Mount Logan Dr
San Jose, CA 95127-4825
Phone (808) 391-8905

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
169449CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nong Group Family Medicine CurrentSince Mar 17, 2023 Accepting new patients
Nguyen Plastic Surgery PC Past Accepting new patients
County of Santa Clara Past Accepting new patients
Good Samaritan Hospital, L.P. Past Accepting new patients

Locations

429 S Main St
Milpitas, CA 95035
Phone (408) 719-1975

2365 Quimby Rd
Ste 220
San Jose, CA 95122
Phone (408) 258-5083

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: ndang175232@santaclaravalley.direct-ci.net

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1494201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675728000000",
    "number": "1891221008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3287 MOUNT LOGAN DR",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951274825",
            "telephone_number": "808-391-8905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1661 BURDETTE DR STE C",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951211681",
            "telephone_number": "408-912-5772",
            "fax_number": "669-275-2571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANG",
        "first_name": "NONG",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-08",
        "last_updated": "2023-02-07",
        "certification_date": "2023-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "169449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

Verify at the official NPI Registry.